DR. CAROL MARCIA POTRUCH LCSW, PHD
NPI 1003992611
Social Worker - Clinical in Mineola, NY
About Dr. Carol Marcia Potruch Lcsw, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROL MARCIA POTRUCH LCSW, PHD (NPI 1003992611) is an individual clinical provider in Mineola, New York, licensed in New York (R040274-1) and active in the NPI registry since October 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Carol Marcia Potruch Lcsw, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, NY 11501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Potruch's NPI number?
The NPI number for Carol Potruch is 1003992611. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Carol Potruch located?
Carol Potruch practices at 1527 Franklin Ave Suite 203, Mineola, NY 11501. The listed phone number is (516) 317-1493.
What is Carol Potruch's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Carol Potruch enrolled in Medicare?
No. Carol Potruch has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Carol Potruch was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
